prepared by: amy lin, mph. infant deaths per 1,000 live births, by state: 2010 1. mississippi 9.62...
TRANSCRIPT
INFANT MORTALITY RATES:
INTERNATIONAL AND STATE DATA COMPARISON
Prepared by: Amy Lin, MPH
INTERNATIONAL COMPARISON: INFANT MORTALITY RATES
WHERE DO WE RANK IN INFANT MORTALITY COMPARED TO OTHER
STATES?
MISSOURI’S INFANT MORTALITY RANK IN 50 STATES
INFANT DEATHS PER 1,000 LIVE BIRTHS, BY STATE: 2010 1. Mississippi 9.62 14. Michigan 7.12
2. Alabama 8.73 15. South Dakota 7.11
3. Tennessee 7.87 16. North Dakota 7.09
4. Ohio 7.72 17. Wyoming 6.88
5. Indiana 7.62 18. Illinois 6.84
6. Louisiana 7.55 19t.Virginia 6.83
7. Oklahoma 7.49 19t. Maryland 6.83
8. Delaware 7.48 21t. Kentucky 6.81
9. South Carolina 7.34 23. Missouri 6.58
10. West Virginia 7.33 24.Florida 6.51
11. Arkansas 7.24 25. Georgia 6.34
12. Pennsylvania 7.23 26. Hawaii 6.21
13. Rhode Island 7.16 27. Kansas 6.20
SOURCE: 2101 linked Birth/Infant Data Set. Includes data from the District of Columbia, and U.S. territories
INFANT MORTALITY RATE BY STATE
Source: CDC / NCHS, National Vital Statistics System, http://www.cdc.gov/nchs/data/databriefs/db120.htm
INFANT MORTALITY RATE; MO AND US, 2000-2012
Source: MO DHSS. Vital Statistics ;US data :CDC, NCHS. National Vital Statistics Reports, http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf
CAUSES OF INFANT MORTALITY
Source: Missouri Vital Statistics (Modified Dolfus Classification)
RISK FACTORS ASSOCIATED WITH PREMATURE BIRTHS
Maternal health and behavior Genetic Stress Smoking Substance abuse (drug and alcohol abuse) Lack of physical activity Nutrition
Mother’s Age under the age of 18 and over the age of 35
Race African American (high risk population)
Socioeconomic status Low income (poverty) Low education level Low health literacy
Prenatal care Access to and quality of prenatal care at an early stage
RACIAL DISPARITIES IN IMR
Source: Missouri Vital Statistics
HEALTH DISPARITIES IN MISSOURI
The 2012 unemployment rate for AA us 12.9%, compared to 7.6% for all Missourians
Over 30% of AA live in poverty, compared to 15.8% for all Missourians
AA mothers with less than high school education is 23.7% compared to white mothers 15.1%.
Births to mothers receiving Medicaid in Missouri (AA 76% versus 40.5% for White mothers)
The rate of AA mothers (30.6%)with inadequate prenatal care is more than double the rate for white mothers (14%).
The obesity rate for Missouri’s AA mothers (30.2%) was a third higher than the rate for white mothers (22.5%).
REFERENCES Infant Mortality (Centers for Disease Control and Prevention)
http://www.cdc.gov/reproductivehealth/MaternalInfantHealth/InfantMortality.htm
Coleman, A. (2013, April 1). Health Equity Series: African American Health Disparities in Missouri. Retrieved December 1, 2014.
Garikapaty, V. (Director) (2014, February 19). Pregnancy Risk Assessment Monitoring System (PRAMS) . Lecture conducted from Missouri Department of Health and Senior Services
Ferrer, B. (n.d.). Low Birth Weight: Understanding all of the factors that affect our health. Boston Public Health Commission
Morrow, L., Terle, M., & Triana-Tremain, B. (2013). Missouri Health Assessment. Missouri Department of Health and Senior Services.